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Brachytherapy: Regrets & Why ?

Prostate Cancer | Last Active: Oct 7 1:22pm | Replies (15)

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@jeffmarc

Your six weeks of radiation are IMRT which is the lower dose radiation. They do the brachytherapy after that, when the IMRT is complete. I had seven weeks of salvage radiation, which is IMRT as well. I had my radiation done in the morning and went to work in the afternoon and never even noticed it was happening. Some people do have reactions, some have fatigue, someone else was recently mentioning they were having prostate pain, which seems to have gone away after a couple of weeks.

If you have 1 Gleason 9 then you are Gleason 9. If they were to examine your whole prostate, you would have a lot more 9’a showing up.

Most people go through what you are having done without much of a problem. The side effects of the Orgovyx will probably be a lot worse than any side effects you have from radiation.

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Replies to "Your six weeks of radiation are IMRT which is the lower dose radiation. They do the..."

Let's make sure we are talking about the same procedure ....
I am having HDR BRACHYTHERAPY.
On November 11, they are first doing the short term implantation of seeds.
From the perineum,
these are inserted and removed; not low dose or permanent. I'm told a template for 20 needles, also known as tubes, is used for location over the prostate.
A bit later following this and same morning, a CT/SIM ( simulation ) is completed.
Approximately 2 weeks later, I am to begin 6 weeks of daily external beam radiation.
My greatest concern is the long list of possible side effects, and damage to my rectum, just as one example, of my fears.

I can perhaps accept some chance of a poor outcome, but I can't accept "surprises later" just because I was too ignorant to ask and my doctor didn't bother to address my concerns as his.
I already feel that he does not welcome conversations of possible adverse outcomes.
Without proper disclosures, I could see myself NOT doing this.
Thanks !!
PAUL